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WisconsinDepartmentofIndustry, SOIL AND SITE EVALUATION <br /> Labor and Human Relations Page of <br /> Division of Safety and Buildings in accordance with S. ILHR 83.09,Wis. <br /> Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must County <br /> include,but not limited to: vertical and horizontal reference point(BM),direction and <br /> percent slope,scale or dimensions,north arrow,and location and distance to nearest road. Parcel I.D.# <br /> aa�- l0?) cel <br /> APPLICANT INFORMATION- Please prinfa"ll information. Reviewed by Date��//� <br /> Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(l)(m)). <br /> Property Owner 1 Property Lt. <br /> BtR P �,y,� Phr• Govt.Lot 1/4-1 „ 1/4,S 3 T 3y ,N,R 14 -B:P)W <br /> Property Owner's Mailing dress Lot# Block# Subd.Name or M# <br /> 14-10 IRA%nboZl_)QoAVt ) rQ� dZ . lSr o •rr <br /> City State Zip Code Phone Number 'Nearest Road <br /> ( ) <br /> El City El Village Town E. o I J41K. <br /> ❑ New Constructionse: um er of bedrooms n to existing building <br /> ® Replacement <br /> Code derived daily flow 300 gpd Recommended design loading rate y4bed,gpd/fF trench,gpd/I12 <br /> Absorption area required Lp00 bed,ft2_-, Q�trench,ft2 Maximum design loading rate • 7 bed,gpd/ff2 •—8trench,gpd/ft2 <br /> Recommended infiltration surface elevation(s) q •tel _115 4 .-7 0) ft(as referred to site plan benchmark) y <br /> Additional design/site considerations A tum 1L. � .d T V + P, b rl% <br /> Parent material Z�jA-, aR.f >r Flood plain elevation,if applicable Aga-- ft <br /> S <br /> U = Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank <br /> = Unsuitable for system 19 s El ❑s 9U ❑S ® u ❑ s K u ❑ s Ru ❑ s 9 u <br /> SOIL DESCRIPTION REPORT <br /> Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 <br /> in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. Bed , Trench <br /> 1 IP 9'" T.S`1R.3 o bk CL-V -6-S • -T .8 <br /> Ground <br /> elev. 16-1 R.1 <br /> , <br /> Depth to <br /> limiting <br /> factor <br /> �'3• Remarks: 21 <br /> Boring# <br /> 1 IRS 32- I rn JF( ' cN 3,*F f •8 <br /> Z Z -1 Z.5 (L414 M M 4;If / vv► . -7 .8 <br /> -7 •S <br /> Ground <br /> 0glev� <br /> ` 6. n. <br /> Depth to ro <br /> limiting <br /> factor p^� <br /> $tZin. -Remarks: <br /> CST Name (Please Print) Signature Telephone No. <br /> SEPTIC $ EXCAVATION <br /> Address Spooner, 154801 Date CST Number <br /> 15)(7635-7482 (. 5 e1-7 w13 LCI <br />